566-16070-48450
4 vaccinations
10 coded responses
38 check-ins
10 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 019 / MA
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
- 2021-01-29
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Flatulence — Feeling: Fair · Fatigue or tirednessFree text: Gassy intestinesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-02
-
2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: A little Tired todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-05
- 2021-02-12
- 2021-02-19
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2021-02-25
Dose 2 — Moderna
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2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Flatulence — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Intestinal gasMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Head or mind is foggyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-28
- 2021-03-01
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
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2021-04-08
Survey response — day 42, dose 2MedDRA: Cough, Productive cough — Feeling: Good · Be unable to do your normal daily activitiesFree text: Coughed for two days with phlegm not fever no loss of smell. No other issues.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-27
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2021-08-26
Survey response — 6 months, dose 2MedDRA: Abdominal discomfort, Abdominal pain upper, Fatigue, Hepatic enzyme increased, Hypophagia, Office visit, Pancreatic enzymes increased — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Symptoms: High liver enzymes and pancreas in blood test started in July. Stomach pains and gastric upset seeing a gastroenterologist now. Having tests done to see if I have an autoimmune disease and very tired at different times Eating low fat and less · Healthcare visit (other): Tests blood cat scan ultrasound and mri. Many dr visitsMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-26
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-09-01
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2021-11-08
Dose 3 — Moderna
- 2022-02-25
-
2022-10-10
Dose 4 — Moderna
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2022-10-11
Survey response — days 1–6 daily, dose 4MedDRA: COVID-19, Malaise — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Weaker symptoms than when I had Covid 19. Got variant ModernaMedDRA releases: 2024-11 · check-in free text available
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2022-10-12
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2022-10-13
Survey response — days 1–6 daily, dose 4MedDRA: Middle ear effusion, Nasal congestion, Neuralgia — Feeling: Good · Joint pains, Fatigue or tirednessFree text: Tooth nerve pain. Maxillary teeth stuffy nose tooth nerve pain occurs each time I have have vaccine and Covid. Fluid in ears. MildMedDRA releases: 2024-11 · check-in free text available
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2022-10-14
Survey response — days 1–6 daily, dose 4MedDRA: Nasal congestion, Sneezing — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Stuffy nose and sneezingMedDRA releases: 2024-11 · check-in free text available
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2022-10-16
Survey response — days 1–6 daily, dose 4MedDRA: Exposure to communicable disease, Malaise — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Daughter was getting over cough cold came to visit yesterday. Now feel crappy today was feeling good yesterday. Probably not vaccineMedDRA releases: 2024-11 · check-in free text available
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2022-10-17
Health check-in — day 7, dose 4Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2022-11-21
- 2023-01-11
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-11-08 | Moderna | No |
| 4 | 2022-10-10 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Gassy intestines
Systemic reaction (other): A little Tired today
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Intestinal gas
Systemic reaction (other): Head or mind is foggy
Release 7 — day 42, dose 2
Symptoms: Coughed for two days with phlegm not fever no loss of smell. No other issues.
Release 9 — 6 months, dose 2
Symptoms: High liver enzymes and pancreas in blood test started in July. Stomach pains and gastric upset seeing a gastroenterologist now. Having tests done to see if I have an autoimmune disease and very tired at different times Eating low fat and less
Healthcare visit (other): Tests blood cat scan ultrasound and mri. Many dr visits
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Weaker symptoms than when I had Covid 19. Got variant Moderna
Systemic reaction (other): Tooth nerve pain. Maxillary teeth stuffy nose tooth nerve pain occurs each time I have have vaccine and Covid. Fluid in ears. Mild
Systemic reaction (other): Stuffy nose and sneezing
Systemic reaction (other): Daughter was getting over cough cold came to visit yesterday. Now feel crappy today was feeling good yesterday. Probably not vaccine
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | · | ✓ |
| SD | Abdominal discomfort | ✓ | · | ✓ |
| SD | Abdominal pain upper | ✓ | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Hepatic enzyme increased | ✓ | · | ✓ |
| SD | Hypophagia | ✓ | · | ✓ |
| SD | Office visit | ✓ | · | ✓ |
| SD | Pancreatic enzymes increased | ✓ | · | ✓ |
| SD | Productive cough | ✓ | ✓ | ✓ |
| SRO | COVID-19 | · | · | ✓ |
| SRO | Exposure to communicable disease | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Flatulence | ✓ | ✓ | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Middle ear effusion | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
| SRO | Neuralgia | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release